Charles O Ebhohimen (NPI# 1497798359, PAC ID# 6305829904) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1497798359 |
PAC ID by PECOS | 6305829904 |
Professional Enrollment ID | I20040612000128 |
Full Name | Charles O Ebhohimen |
Organization Legal Name | PEACH EMERGENCY GROUP LLC |
Address |
1960 Ga Hwy 247 Connector Byron GA 31008-5663 |
Phone Number | 4786548400 |
Gender | M |
Credential | MD |
Graduation Year | 1987 |
Primary Specialty | INTERNAL MEDICINE |
Secondary Specialties | EMERGENCY MEDICINE |
Group Practice PAC ID | 2567628993 |
Number of Group Practice Members | 9 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
110044 | PHOEBE SUMTER MEDICAL CENTER |
111310 | MEDICAL CENTER OF PEACH COUNTY, NAVICENT HEALTH |
010168 | JACK HUGHSTON MEMORIAL HOSPITAL |
110132 | MEMORIAL HOSPITAL AND MANOR |
Address | Phone | Organization |
---|---|---|
126 Hwy 280 W, Americus, GA 31719-8645 | 2299246011 | PHOEBE SUMTER MEDICAL CENTER, INC. |
1960 Ga Hwy 247 Connector, Byron, GA 31008-5663 | 4786548400 | PEACH EMERGENCY GROUP LLC |
4401 River Chase Dr, Phenix City, AL 36867-7483 | 3347323000 | MOON LAKE EMERGENCY PHYSICIANS LLC |
Organization Legal Name | PEACH EMERGENCY GROUP LLC |
Physicians | 7 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tara L Butts | Nurse Practitioner | Peach Emergency Group LLC | 1960 Ga Hwy 247 Connector, Byron, GA 31008-5663 |
Courtney Anne Young | Nurse Practitioner | Peach Emergency Group LLC | 1960 Ga Hwy 247 Connector, Byron, GA 31008-5663 |
David L Kocherla | Emergency Medicine | Peach Emergency Group LLC | 1960 Ga Hwy 247 Connector, Byron, GA 31008-5663 |
Robert L Nelson | Family Medicine | Peach Emergency Group LLC | 1960 Ga Hwy 247 Connector, Byron, GA 31008-5663 |
John J Rogers | Emergency Medicine | Peach Emergency Group LLC | 1960 Ga Hwy 247 Connector, Byron, GA 31008-5663 |
Clifford E Becker | Emergency Medicine | Peach Emergency Group LLC | 1960 Ga Hwy 247 Connector, Byron, GA 31008-5663 |
Street Address |
1960 GA HWY 247 CONNECTOR |
City | BYRON |
State | GA |
Zip | 31008-5663 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tara L Butts | Nurse Practitioner | Peach Emergency Group LLC | 1960 Ga Hwy 247 Connector, Byron, GA 31008-5663 |
Courtney Anne Young | Nurse Practitioner | Peach Emergency Group LLC | 1960 Ga Hwy 247 Connector, Byron, GA 31008-5663 |
David L Kocherla | Emergency Medicine | Peach Emergency Group LLC | 1960 Ga Hwy 247 Connector, Byron, GA 31008-5663 |
Robert L Nelson | Family Medicine | Peach Emergency Group LLC | 1960 Ga Hwy 247 Connector, Byron, GA 31008-5663 |
John J Rogers | Emergency Medicine | Peach Emergency Group LLC | 1960 Ga Hwy 247 Connector, Byron, GA 31008-5663 |
Clifford E Becker | Emergency Medicine | Peach Emergency Group LLC | 1960 Ga Hwy 247 Connector, Byron, GA 31008-5663 |
Name | Specialty | Organization | Address |
---|---|---|---|
Erlinda Smith | Occupational Therapy | Middle Georgia Family Rehab | 100 Hamilton Pointe Dr, Byron, GA 31008 |
Danielle Wallace | Occupational Therapy | Middle Georgia Family Rehab | 100 Hamilton Pointe Dr, Byron, GA 31008 |
Tameka D Byrd | Family Medicine | The Medical Center of Peach County, Inc. | 1960 Hwy 247 Connector, Byron, GA 31008-5663 |
Gorby Leon | Family Medicine | The Medical Center of Peach County, Inc. | 1960 Hwy 247 Connector, Byron, GA 31008-5663 |
John Brown | Family Medicine | The Medical Center of Peach County, Inc. | 1960 Hwy 247 Connector, Byron, GA 31008-5663 |
Linda S Vanosdol | Nurse Practitioner | The Medical Center of Peach County, Inc. | 1960 Hwy 247 Connector, Byron, GA 31008-5663 |
Rachel L Peterson | Nurse Practitioner | The Medical Center of Peach County, Inc. | 1960 Hwy 247 Connector, Byron, GA 31008-5663 |
Michael G Moss | Internal Medicine | The Medical Center of Peach County, Inc. | 1960 Hwy 247 Connector, Byron, GA 31008-5663 |
Jaekea Teshea Coar | Nurse Practitioner | The Medical Center of Peach County, Inc. | 1960 Hwy 247 Connector, Byron, GA 31008-5663 |
John A Hudson | Internal Medicine | Health Services of Central Georgia | 1960 Hwy 247 Connector, Byron, GA 31008-5663 |
Find all physicians in zip 31008 |
City | BYRON |
Zip Code | 31008 |
Specialty | INTERNAL MEDICINE |
City + Specialty | BYRON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Charles O Ebhohimen.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.